Individual provider · Type 1 NPI

Kimberly Marie Tallas

Dental Assistant · Pacoima, CA

NPI number 1992315956 Active

Practice location

9745 Laurel Canyon
Pacoima, CA 91331

Mailing address

13909 Pinney St
Pacoima, CA 91331-3624

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X89660

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1992315956

Kimberly Marie Tallas's National Provider Identifier is 1992315956, issued on Aug 5, 2020. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Pacoima, CA. The record was last updated on Aug 5, 2020.